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Organization

INTERNAL MEDICINE PERIOPERATIVE CONSULTANTS PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM SANTIAGO MD (PRESIDENT)
(787) 453-0583
Entity
Organization

Contact information

Practice address
909 TITO CASTRO AVE, TORRE MEDICA SAN LUCAS SUITE 717, PONCE, PR 00716
(787) 453-0583
Mailing address
PO BOX 2000, PMB 157, MERCEDITA, PR 00715
(787) 841-5549
(787) 840-3030

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
14914
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5200
PUERTO RICO DEPARTMENT OF STATE
PR
Enumeration date
07/11/2008
Last updated
07/11/2008
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